Excessive sweating guide

Excessive sweating (hyperhidrosis) treatment online in Virginia and West Virginia

This guide is for long-standing focal sweating in an otherwise-well adult, not for new, sudden, or all-over sweating, night sweats with weight loss, or heart or thyroid symptoms.

Start online

Start a $59 online review for Excessive sweating (hyperhidrosis).

Primary focal hyperhidrosis is long-standing excessive sweating of specific areas (usually the underarms, palms, or soles) that is not caused by another medical problem and typically stops during sleep. It is often a good online condition. New, sudden, one-sided, or whole-body sweating, or night sweats with weight loss or fever, can signal a secondary cause and needs an in-person workup.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Excessive underarm, palm, or sole sweating
Sweat that soaks clothing or drips
Present for years, often since youth
Usually stops during sleep

May fit online care

Adults 18 and older
Long-standing sweating of specific areas
Otherwise feeling well
Sweating stops during sleep
No new heart, thyroid, or weight symptoms

Look for another care setting

New, sudden, one-sided, or whole-body sweating
Night sweats with unexplained weight loss or fever
Chest pain, palpitations, or a racing heart
Glaucoma or bladder-emptying problems (for oral options)

What to have ready

Which areas sweat excessively and for how long
Whether it stops when you sleep
Any heart, thyroid, or weight-loss symptoms
Medication allergies, current medications, and glaucoma/bladder history

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

What treatments are available online?

Prescription-strength topical treatments (treatments put on the skin: glycopyrronium cloths or aluminum chloride) are first-line (tried first). For stubborn or more widespread sweating, an oral medicine (a pill) may be considered. In-person options include iontophoresis (a treatment that uses water and a mild electric current), botulinum toxin injections (shots that block the nerve signals to the sweat glands), or a referral.

When does excessive sweating need in-person care?

Sweating that is new, sudden, on one side, or all over the body, or that comes with night sweats, weight loss, fever, a racing heart, shaking, or a lump in the neck, can be a sign of a thyroid or other problem and needs an in-person exam.

Do the topicals irritate the skin?

Some irritation is common at first, especially with aluminum chloride. Putting it on completely dry skin at night and following the directions usually helps.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Acne keloidalis nuchae Acne or breakouts Cold sores Dandruff or itchy scalp Eczema flare Eyelash growth